DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Goldsmith-Theodore Agency, Inc. DBA : THEODORE & ASSOCIATES	DOIID	1045124	NAIC NPN	3007510

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/24/2019	3/31/2021
Inactive	Non Resident	Agent	Health	6/24/2019	3/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	6/24/2019	3/31/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	6/24/2019	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Perkins, Kathy S	573141	Agent - Health	6/24/2019	3/31/2021
Inactive	Perkins, Kathy S	573141	Agent - Life	6/24/2019	3/31/2021